Mira Sivan, OD

NPI 1407013840 · on the registry since 2008 · sole proprietor

Practice

Address: 5462 Memorial Dr
Suite 101
Stone Mountain, GA 30083
Phone: (404) 296-6000
Organisation at this address: Dekalb Family Practice, P.C.
Metro Atlanta Womens Health Specialist
Georgia Rehabilitation Associates, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia